Active NPI
Eric Eugene Borofsky, MD
- Orthopaedic Surgery Physician
- Fort Mohave, AZ
National Provider Identifier
1376518746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- EB042101
- Practice address
- 5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251 - Phone
- (928) 788-3609
- Fax
- (928) 788-3607
- NPI assigned
- Feb 21, 2006
- Last updated
- Aug 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | EB042101 | MI | Primary |
Addresses
Primary practice location
5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251
Mailing address
5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251
Phone (928) 788-3609
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1438577 | Other | FL | AETNA |
| 425210 | Medicaid | AZ | |
| 4373307 | Other | FL | AETNA |
| 0714609003 | Other | FL | CIGNA |
| 56539 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 276061400 | Medicaid | FL | |
| 366974 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EB042101 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Institute of Michigan PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Institute of Michigan PLLC | Current | Accepting new patients |
Locations
39000 7 Mile Rd
Livonia, MI 48152
Phone (734) 464-0400
Interoperability endpoints
- https://api.platform.athenahealth.com/2835/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1841217627
-
- Specialist
- Livonia, MI
- NPI 1962690941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1376518746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 S HIGHWAY 95",
"address_2": "SUITE D",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269251",
"telephone_number": "928-788-3609",
"fax_number": "928-788-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 S HIGHWAY 95",
"address_2": "SUITE D",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269251",
"telephone_number": "928-788-3609",
"fax_number": "928-788-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOROFSKY",
"first_name": "ERIC",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "EB042101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1438577",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4373307",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0714609003",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "56539",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276061400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "366974",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mohave, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.